Short-segment barrett's esophagus: Findings on double-contrast esophagography in 20 patients

A. J. Yamamoto, M. S. Levine, David A Katzka, E. E. Furth, S. E. Rubesin, I. Laufer

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE. The purpose of this study was to determine the findings of short-segment Barrett's esophagus on double-contrast esophagography. MATERIALS AND METHODS. A review of pathology and endoscopy data revealed 142 patients with short-segment Barrett's esophagus, which was defined as columnar epithelium in the distal esophagus extending 3 cm or less above the gastroesophageal junction at endoscopy with histopathologic confirmation of intestinal metaplasia. Twenty of these patients underwent double-contrast esophagography. These 20 patients comprised our study group. The original radiology reports and images were reviewed to determine the findings on double-contrast esophagography. Medical records were also reviewed to determine the clinical findings and treatment. RESULTS. Double-contrast esophagrams revealed hiatal hernias in 18 patients (90%), gastroesophageal reflux in 16 (80%), reflux esophagitis in seven (35%), peptic scarring or strictures in 11 (55%), and a reticular mucosal pattern in none. A total of 14 patients (70%) had morphologic findings of reflux disease with esophagitis alone (three patients), peptic scarring or strictures alone (seven patients), or both (four patients), but the remaining six (30%) had hiatal hernias or gastroesophageal reflux as the only radiographic finding. CONCLUSION. Double-contrast esophagography revealed morphologic findings of reflux disease with esophagitis, peptic scarring or strictures, or both in 70% of patients with short-segment Barrett's esophagus. Thus, the absence of esophagitis or peptic scarring or strictures on double-contrast esophagography does not exclude the possibility of short-segment Barrett's esophagus.

Original languageEnglish (US)
Pages (from-to)1173-1178
Number of pages6
JournalAmerican Journal of Roentgenology
Volume176
Issue number5
StatePublished - 2001
Externally publishedYes

Fingerprint

Barrett Esophagus
Peptic Esophagitis
Cicatrix
Pathologic Constriction
Hiatal Hernia
Gastroesophageal Reflux
Endoscopy
Digestion
Esophagogastric Junction
Esophagitis
Metaplasia
Radiology
Esophagus
Medical Records
Epithelium
Pathology

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Yamamoto, A. J., Levine, M. S., Katzka, D. A., Furth, E. E., Rubesin, S. E., & Laufer, I. (2001). Short-segment barrett's esophagus: Findings on double-contrast esophagography in 20 patients. American Journal of Roentgenology, 176(5), 1173-1178.

Short-segment barrett's esophagus : Findings on double-contrast esophagography in 20 patients. / Yamamoto, A. J.; Levine, M. S.; Katzka, David A; Furth, E. E.; Rubesin, S. E.; Laufer, I.

In: American Journal of Roentgenology, Vol. 176, No. 5, 2001, p. 1173-1178.

Research output: Contribution to journalArticle

Yamamoto, AJ, Levine, MS, Katzka, DA, Furth, EE, Rubesin, SE & Laufer, I 2001, 'Short-segment barrett's esophagus: Findings on double-contrast esophagography in 20 patients', American Journal of Roentgenology, vol. 176, no. 5, pp. 1173-1178.
Yamamoto, A. J. ; Levine, M. S. ; Katzka, David A ; Furth, E. E. ; Rubesin, S. E. ; Laufer, I. / Short-segment barrett's esophagus : Findings on double-contrast esophagography in 20 patients. In: American Journal of Roentgenology. 2001 ; Vol. 176, No. 5. pp. 1173-1178.
@article{ec2ca332de9449b28c38a6cf766c32db,
title = "Short-segment barrett's esophagus: Findings on double-contrast esophagography in 20 patients",
abstract = "OBJECTIVE. The purpose of this study was to determine the findings of short-segment Barrett's esophagus on double-contrast esophagography. MATERIALS AND METHODS. A review of pathology and endoscopy data revealed 142 patients with short-segment Barrett's esophagus, which was defined as columnar epithelium in the distal esophagus extending 3 cm or less above the gastroesophageal junction at endoscopy with histopathologic confirmation of intestinal metaplasia. Twenty of these patients underwent double-contrast esophagography. These 20 patients comprised our study group. The original radiology reports and images were reviewed to determine the findings on double-contrast esophagography. Medical records were also reviewed to determine the clinical findings and treatment. RESULTS. Double-contrast esophagrams revealed hiatal hernias in 18 patients (90{\%}), gastroesophageal reflux in 16 (80{\%}), reflux esophagitis in seven (35{\%}), peptic scarring or strictures in 11 (55{\%}), and a reticular mucosal pattern in none. A total of 14 patients (70{\%}) had morphologic findings of reflux disease with esophagitis alone (three patients), peptic scarring or strictures alone (seven patients), or both (four patients), but the remaining six (30{\%}) had hiatal hernias or gastroesophageal reflux as the only radiographic finding. CONCLUSION. Double-contrast esophagography revealed morphologic findings of reflux disease with esophagitis, peptic scarring or strictures, or both in 70{\%} of patients with short-segment Barrett's esophagus. Thus, the absence of esophagitis or peptic scarring or strictures on double-contrast esophagography does not exclude the possibility of short-segment Barrett's esophagus.",
author = "Yamamoto, {A. J.} and Levine, {M. S.} and Katzka, {David A} and Furth, {E. E.} and Rubesin, {S. E.} and I. Laufer",
year = "2001",
language = "English (US)",
volume = "176",
pages = "1173--1178",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "5",

}

TY - JOUR

T1 - Short-segment barrett's esophagus

T2 - Findings on double-contrast esophagography in 20 patients

AU - Yamamoto, A. J.

AU - Levine, M. S.

AU - Katzka, David A

AU - Furth, E. E.

AU - Rubesin, S. E.

AU - Laufer, I.

PY - 2001

Y1 - 2001

N2 - OBJECTIVE. The purpose of this study was to determine the findings of short-segment Barrett's esophagus on double-contrast esophagography. MATERIALS AND METHODS. A review of pathology and endoscopy data revealed 142 patients with short-segment Barrett's esophagus, which was defined as columnar epithelium in the distal esophagus extending 3 cm or less above the gastroesophageal junction at endoscopy with histopathologic confirmation of intestinal metaplasia. Twenty of these patients underwent double-contrast esophagography. These 20 patients comprised our study group. The original radiology reports and images were reviewed to determine the findings on double-contrast esophagography. Medical records were also reviewed to determine the clinical findings and treatment. RESULTS. Double-contrast esophagrams revealed hiatal hernias in 18 patients (90%), gastroesophageal reflux in 16 (80%), reflux esophagitis in seven (35%), peptic scarring or strictures in 11 (55%), and a reticular mucosal pattern in none. A total of 14 patients (70%) had morphologic findings of reflux disease with esophagitis alone (three patients), peptic scarring or strictures alone (seven patients), or both (four patients), but the remaining six (30%) had hiatal hernias or gastroesophageal reflux as the only radiographic finding. CONCLUSION. Double-contrast esophagography revealed morphologic findings of reflux disease with esophagitis, peptic scarring or strictures, or both in 70% of patients with short-segment Barrett's esophagus. Thus, the absence of esophagitis or peptic scarring or strictures on double-contrast esophagography does not exclude the possibility of short-segment Barrett's esophagus.

AB - OBJECTIVE. The purpose of this study was to determine the findings of short-segment Barrett's esophagus on double-contrast esophagography. MATERIALS AND METHODS. A review of pathology and endoscopy data revealed 142 patients with short-segment Barrett's esophagus, which was defined as columnar epithelium in the distal esophagus extending 3 cm or less above the gastroesophageal junction at endoscopy with histopathologic confirmation of intestinal metaplasia. Twenty of these patients underwent double-contrast esophagography. These 20 patients comprised our study group. The original radiology reports and images were reviewed to determine the findings on double-contrast esophagography. Medical records were also reviewed to determine the clinical findings and treatment. RESULTS. Double-contrast esophagrams revealed hiatal hernias in 18 patients (90%), gastroesophageal reflux in 16 (80%), reflux esophagitis in seven (35%), peptic scarring or strictures in 11 (55%), and a reticular mucosal pattern in none. A total of 14 patients (70%) had morphologic findings of reflux disease with esophagitis alone (three patients), peptic scarring or strictures alone (seven patients), or both (four patients), but the remaining six (30%) had hiatal hernias or gastroesophageal reflux as the only radiographic finding. CONCLUSION. Double-contrast esophagography revealed morphologic findings of reflux disease with esophagitis, peptic scarring or strictures, or both in 70% of patients with short-segment Barrett's esophagus. Thus, the absence of esophagitis or peptic scarring or strictures on double-contrast esophagography does not exclude the possibility of short-segment Barrett's esophagus.

UR - http://www.scopus.com/inward/record.url?scp=0035044856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035044856&partnerID=8YFLogxK

M3 - Article

C2 - 11312177

AN - SCOPUS:0035044856

VL - 176

SP - 1173

EP - 1178

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 5

ER -